Treat skin cancer while preserving healthy tissue with Mohs surgery at Dermatology Associates

Mohs surgery, or Mohs micrographic surgery, is a specialized skin cancer treatment for removing pre-malignant or malignant skin cancer cells. Because this delicate procedure demands advanced surgical precision and tissue analysis, choosing an experienced specialist is essential.

Dr. Vivek Iyengar is a board-certified dermatologist with fellowship training in Mohs surgery, and he has published several articles and book chapters on the subject. Dr. Iyengar and the treatment team at Dermatology Associates are expert providers of Mohs surgery in Tinley Park, Palos Heights, and New Lenox.

Dermatologist examining mole on senior man's forehead with dermatoscope

What Is Mohs Micrographic Surgery?

The Mohs technique is highly effective in eliminating cancer cells while sacrificing as little healthy tissue as possible. It involves excising ultra-thin layers of tissue from the affected area and examining them under a microscope. The surgical procedure is ideal for treating the two most common forms of skin cancer: basal cell and squamous cell carcinomas.

I was seen on time and the exam was very thorough – all my questions were answered. The doctor was very professional and attentive – the assistants were also very pleasant and helpful. Thank you.

Deborah V

Customer, since 2016

When Mohs Surgery May Be Recommended

Mohs surgery may be recommended when skin cancer requires precise removal while preserving as much healthy surrounding tissue as possible. The technique is particularly useful for cancers in areas where tissue preservation matters or when the cancer has characteristics that make complete removal more challenging.

Mohs Surgery for Basal Cell and Squamous Cell Carcinoma

Mohs surgery is commonly used to treat certain basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs). During the procedure, Dr. Iyengar examines each layer of removed tissue under a microscope before proceeding, removing additional tissue only when cancer cells remain.

Top Benefits of Mohs Surgery for Skin Cancer Treatment

Mohs surgery offers numerous benefits, making it the gold standard for skin cancer treatment:

  • High Success Rate: A 99% cure rate for basal and squamous cell carcinomas.

  • Tissue Preservation: Removes only cancerous tissue while sparing healthy skin.

  • Precise Results: Step-by-step mapping allows for thorough cancer removal.

  • Minimally Invasive: Quick recovery and minimal impact on daily life.

  • Advanced Reconstruction: Improves cosmetic outcomes, especially for cancer in visible areas.

Am I the Right Candidate for Mohs Surgery?

If you have been given a referral for a diagnostic cancer screening or the following conditions apply to you, contact Dermatology Associates for a consultation.

  • You have been given a diagnosis of skin cancer or the presence of pre-cancer cells.
  • New lesions or spots have appeared in previously treated areas.
  • You have skin lesions or spots that have never been examined or cancer screened.

We recommend a comprehensive skin check and mole removal evaluation to assess any suspicious spots or potential skin cancer risks.

What Happens During a Mohs Surgery

Mohs surgery in Tinley Park, Palos Heights, and New Lenox is performed as an outpatient procedure using a local anesthetic injection. If more extensive skin reconstruction is anticipated, there may be a referral to a doctor who may perform the surgery in a hospital while the patient is under general anesthesia.

Once the area is numb, Dr. Iyengar removes the raised portion of the lesion and excises a thin layer of tissue. This tissue is processed, placed on a glass slide, and examined under a microscope to map any unhealthy cells. The process is repeated layer by layer until no cancerous or abnormal cells remain.

Reconstruction and Wound Closure After Mohs Surgery

After removing the cancer and confirming if the margins are clear, Dr. Iyengar closes the resulting wound or allows it to heal based on its size, depth, and location. Depending on the defect, closure may involve stitches, a local skin flap, a skin graft, or healing naturally with appropriate wound care. The goal is to close the surgical site while protecting function and achieving an appropriate result for the treated area.

Recovery and Wound Care After Mohs Surgery

After outpatient treatments, minimal recovery time is required. Rest and limited activity are advised for a day or two. In most cases, temporary swelling and mild discomfort are well-managed with non-prescription pain medication and ice packs.

Following post-operative care instructions and not smoking for four to six weeks after surgery will help avoid complications such as infection or poor tissue healing. Aftercare instructions following general anesthesia or more complex skin reconstruction will be determined based on the patientโ€™s medical history and their specific treatment protocol.

Before & After Gallery

Our Before & After Gallery showcases the transformative results of Mohs surgery and other dermatologic procedures performed at Dermatology Associates.

Meet Your Fellowship-Trained Mohs Surgeon

Dr. Vivek Iyengar is a board-certified dermatologist and fellowship-trained Mohs surgeon with specialized training in Mohs micrographic surgery. His fellowship training focuses on the meticulous removal and microscopic examination of skin cancer, helping remove cancerous tissue while preserving healthy tissue whenever possible.

His published work in Mohs surgery and skin cancer care further reflects his involvement in the field.

Why Choose Dermatology Associates for Mohs Surgery?

At Dermatology Associates, we deliver expert, patient-centered skin cancer treatment. Our team is trained in advanced techniques like Mohs surgery, focusing on precise cancer removal while preserving healthy tissue and achieving excellent cosmetic results.

We prioritize your safety, comfort, and outcomes by utilizing state-of-the-art technology and providing a supportive, welcoming environment throughout your treatment journey. With a strong emphasis on early detection, treatment, and patient education, we tailor personalized care plans to meet your needs.

Patients throughout Tinley Park, Palos Heights, and New Lenox trust our fellowship-trained Mohs surgeon for precise, minimally invasive skin cancer removal โ€” with the same high cure rates and cosmetic-focused approach at all three of our locations.

How Much Does Mohs Surgery Cost?

The cost of Mohs surgery is based on the details of each patientโ€™s procedure. Most private and public health insurance plans cover the price of cancer screening and treatment fees. Our knowledgeable office staff can assist you in determining available insurance coverage and other accepted forms of payment.

Book Your Mohs Surgery Consultation Today

Take the first step toward effective skin cancer treatment by scheduling a consultation for Mohs surgery in Tinley Park, Palos Heights, and New Lenox. Early detection is essential in treating cancerโ€”contact Dermatology Associates today to schedule your consultation.

FAQs about Mohs Surgery

Is Mohs surgery covered by insurance?

Mohs surgery is typically covered by most major insurance plans, including Medicare, when medically necessary to treat skin cancer. Our team verifies your coverage and discusses any out-of-pocket costs before your procedure.

How long does Mohs surgery take?

The procedure typically lasts two to four hours, depending on the complexity of the cancer and the number of tissue layers that need to be examined.

Is Mohs surgery painful?

No, the procedure is performed under local anesthesia so that you wonโ€™t feel pain. Post-operative discomfort is mild and usually managed with over-the-counter pain relievers.

Will I have a scar after Mohs surgery?

Some scarring is expected, but Dr. Iyengar uses advanced reconstruction techniques to minimize it and optimize cosmetic outcomes.

Can Mohs surgery treat all types of skin cancer?

Mohs surgery is most effective for basal cell and squamous cell carcinomas, especially in visible or sensitive areas. It is less commonly used for melanoma and other skin cancers.

How soon can I resume normal activities after Mohs surgery?

Most patients return to light activities within one to two days, but healing time varies based on the treated area and procedure specifics. Follow your doctorโ€™s post-surgical instructions for optimal recovery.

How should I prepare for Mohs surgery?

Before Mohs surgery, tell your dermatologist about your medications, supplements, allergies, and any medical conditions. Follow your surgical teamโ€™s instructions about eating, drinking, medications, and what to bring on the day of your procedure.

Will I need reconstruction after Mohs surgery?

Not every Mohs surgical site requires reconstruction. After the cancer is removed and the margins are confirmed clear, the wound may be closed with stitches, repaired with a skin flap or graft, or allowed to heal naturally depending on its size, depth, and location.

Do I need a referral for Mohs surgery?

A referral may be required depending on your insurance plan and how you were referred for treatment. If your dermatologist or another provider has diagnosed skin cancer and recommends Mohs surgery, our team can help determine what is needed before your appointment.

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